Organization
ELGIN DIALYSIS LLC
Active
Other names
Colorado City Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
1546 CHESTNUT ST, COLORADO CITY, TX 79512-3925
(325) 728-9131
(325) 728-9228
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4550
(866) 500-8578
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028133
KIDNEY CARE
TX
05
—
311316901
—
TX
Enumeration date
06/01/2012
Last updated
03/15/2013
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